Senior Claims Manager – Ottawa

Senior Claims Manager

Comma Recruitment are looking for an experienced claims manager to manager multiple teams / units throughout the Ottawa Region.

Responsible for the direction and management of  the Accident Benefits Claims Teams within the Ottawa Region, oversee day-to-day operations providing for efficient and effective work processes, quality customer service, and continuous improvement meeting all company standards, procedures and goals.

Authorizes major settlements within authority level or escalates those cases with higher financial requirements or special circumstances.

Works with the Director of AB in providing for the overall direction and management of the customer service and claims settlement.

• Manages the day-to-day operation of the AB Unit(s) of the claims department to achieve essential business goals and meet customer service expectations.
• Manages and monitors activities of clerical support staff unit(s).
• Reports on progress up against specific goals and objectives, providing Monthly/Quarterly results. Ensures effective implementation of and compliance with all company policies and procedures.
• Manages relationships with key vendors within area(s) of expertise, ensuring that corporate policies and procedures as well as customer service and productivity standards

 

Assists Directors to develop policies, strategies, budgets and long- and short-term plans to facilitate ongoing work, process improvement, customer relations and other functions.

 

Acts as claims authority within area(s) of expertise and provides direction on such issues as policy interpretation, legal and technical issues or concerning large losses. Settles large or complex claims within own authority or escalates issues as necessary.

Manages budget and material resources within own group to provide exceptional customer service and while meeting all of the financial and productivity goals. Develops, recommends, and implements strategies for loss cost containment and increased Salvage and Subrogation returns to improve the Region’s loss ratios.

 

Responsible for managing the employees within own group including hiring and terminations, coaching and mentoring subordinates, performance management, continuous learning and career development for all staff.

 

Minimum of 10 years Claims experience which includes automobile,  AB and casualty adjusting and 2 years in a management function.

Excellent communication and interpersonal skills with all levels of staff.

Proficiency in a variety of PC software including Microsoft Word.

Experience in coaching and developing staff.

Proven leadership skills, excellent communication skills

CIP(Chartered Insurance Professional), FCIP or Degree a preference

Bilingualism (English & French) is a preference

 

Please forward resume to [email protected]

Senior Bilingual Life Underwriter

• Review, evaluate and assess individual life applications for accuracy and completeness and accepts or declines the risk based upon analysis of medical history, occupational hazards, financial background, insurable interest or other information pertinent to the decision
• Exercises sound and reasoned medical and financial underwriting judgments based on various underwriting requirements and case documentation
• Communication with applicants/agents when information is missing or in error on the application
• Communicates case decisions to applicants in a timely and customer-friendly manner
• Submits recommendations for cases in excess of approval limits or for consultation to Medical Director or Manager
• Orders requirements (Paramedical, Laboratory, ECG, Vitals) as per underwriting guidelines or due to medical history
• Performs other duties as assigned.

QUALIFICATIONS REQUIRED

• High school graduate
• minimum 2 + years as Underwriter, Senior level experience would be welcomed
• Solid knowledge of underwriting risk assessment, policies and procedures, medical background preferred
• Excellent verbal and written communication skills in English and French
• Excellent organizational skills and attention to detail.
• Effective Team player
• Efficient in Microsoft OS
• Well-developed theoretical problem solving skills
• Able to act with appropriate sense of urgency

Please forward resume to [email protected]

Senior Portfolio Underwriter – Property and Casualty

Senior Portfolio Underwriter – Property and Casualty

The Senior Portfolio Underwriter will be responsible for meeting or exceeding the commercial insurance

growth and profit goals for assigned brokers.

• Work as a team with the Sr. Production Underwriter to manage your assigned brokers and ensure that excellent broker relationships are maintained.
• Work as a team with the Sr. Production Underwriter and manage your assigned brokers to underwrite and service the renewal portfolio, endorsements, cancellations, certificates etc. to ensure they are completed within service standards in accordance with company guidelines and within assigned authority.
• Assist the Sr. Production Underwriter with new business inputting, rating, issuing and documentation to ensure the correct procedures are followed and service standards are met.
• Develop and maintain strong broker relationships and market our insurance products and services.
• Analyze and evaluate results for your portfolio and use individual or collaborative judgment to ensure that profit and growth goals are met.
• Communicate results, outstanding issues, opportunities to Director of Commercial Insurance.
• Record underwriting information for the purpose of evaluation, assessment, audit and profitability.
• Assist with training and coaching of other staff as required.
• Additional duties as assigned by the Director of Commercial Insurance.

Required Experience, Qualifications, and Expectations:

8+ years of experience in commercial Property/Casualty underwriting including senior-level experience in this area, CIP designation, strong knowledge of Microsoft Word and Excel.

• Strong property and casualty product knowledge, and the ability to make sound underwriting decisions for mid-market and larger complicated accounts.
• Possess excellent oral and written communication skills and superb time management and organizational skills.
• Ability to work well independently as well as part of a team
• Accountability, customer-centric thinking, teamwork and a commitment to excellence.
• Possess strong team building, coaching and leadership skills

Please forward resume to [email protected]

Corporate Underwriter – Special Risks, Toronto

Corporate Underwriter – Special Risks – Downtown Toronto

JOB PURPOSE

The Corporate Underwriter is responsible for the evaluation and servicing highly complex and

unique accounts within the Fronting segment of Specialty Risk, in accordance with established

guidelines and business objectives. The incumbent will be expected to solve highly complex

problems by applying a breadth of expertise to identify innovative solutions as well as develop

and refine contract wordings.

RESPONSIBILITIES

1 Responsible for the successful management and pricing of designated portfolio of fronting and net risk accounts.

• Maintain the long term profitability of a significant portfolio of Fronting accounts regardless of market conditions. This includes the ability to successfully negotiate terms, conditions and pricing to achieve new business, renewal and profitability targets.
• Execute risk selection decisions within the assigned authority and in accordance to corporate guidelines for correct pricing techniques.
• Refer and redirect requests for risk selection for unique or unusual risks beyond personal authority, along with recommendations.

2.  Develop contract wording for new product proposals and business plans.

• Review and manage existing contracts.
• Develop new contract wordings.
• To ensure products and service are delivered in the most effective manner to achieve profit and growth objectives.
• Work with external clients, general counsel and reinsurance departments on contract wordings.

 

3.  Collaborate with and support Specialty Risk team in the development of products and pricing strategies to achieve profitable growth.
4.  Understand and apply best business practices towards compliance, internal control and

operational risk controls in accordance to national standards and regulatory standards and policies.

• Monitor trends and developments identifying areas of concern regarding loss ratios, risk trends, or other discrepancies.

5.  Develop and maintain a knowledge and understanding of company operations and procedures, including demographic, economic, and social characteristics to increase market share.

• Fully supports and understands corporate and Regional financial and underwriting goals and objectives and ensures all underwriters are knowledgeable as to these goals and objectives.
• Participate in the development of business plans to contribute to corporate objectives and assist in the presentation of proposals as required.

6.  Work collaboratively with Supervisors and/or Managers on special projects and assignments requiring advanced technical skills and knowledge when required.
7.  Other duties as assigned.

QUALIFICATIONS & SKILLS

• Proficient in creating and understanding contract wordings; proficiency in the use of Microsoft Word.
• Proficient in creating and maintaining Microsoft Excel-based spreadsheets and workbooks.
• Accurate and detail oriented.
• Commitment to high standards of performance and goals.
• Strong verbal and written communication skills.
• Demonstrated presentation skills.
• Ability to foster and build good working relationships with brokers, customers and business areas inside and outside the work unit.
• Ability to influence decisions and gain agreement and/or support on sensitive issues.
• Strong analytical and decision-making skills.
• Post-secondary school education in legal/accounting preferred and/or equivalent on the job experience.
• Minimum 7-10 years’ experience in underwriting property and casualty insurance risks or senior level experience in Special Risks – warranty and service contract experience is preferred, including data analysis, coverage review and form creation.
• Existing relationships within the industry are valued.
• Basic knowledge of insurance accounting principles, including earning factors, reserves, account receivables and account payables.
• Broad knowledge and understanding of underwriting discipline and pricing models.
• Working knowledge of company underwriting philosophy, policy contracts, rating programs, risk information sources, underwriting/technical manual information, statuary constraints, and computer workflow procedures.
• Ability to work within and adapt to PC oriented environments, including familiarity with e-mail and Internet skills. Advanced knowledge of Microsoft Office.
• Completion of the CIP/FCIP designation an asset.

Please forward resume to [email protected]

Bilingual Claims Adjuster – GTA East $45,000

Bilingual Claims Adjuster – Life, Accident and Health

Comma Recruitment are looking for a Junior / Intermediate Life, accident and Health disability claims adjuster, 1+ years experience in similar claims and must be bilingual in French and English

·         Adjudicate all lines of Life, Accident and Health claims

·         Approve, deny, or inquire further for necessary information from  claimants, doctors, or hospital to assess claimant’s eligibility for benefits.

·         Interprets and administers policy provisions including, but not limited to, eligibility and investigations.

·         Review incoming correspondence concerning existing claims.

·         Refer files for special investigation, if required.

·         Discuss and explain benefit payments to claimants by telephone.

·         Document claim file actions and telephone conversations appropriately.

·         Review claims on diary and send follow up reminders in a timely manner.

·         Refer activity outside of authority level to Senior Adjusters or Claims Manager where appropriate

QUALIFICATIONS REQUIRED

·         Completion of College diploma;

·         1-2 years of claims adjudication experience;

·         Bilingual (Fluent in French and English);

·         Good communication skills, both verbal and written;

·         Aptitude for figures;

·         Possess a logical mind and an understanding of the insurance Industry;

·         Knowledge of medical terminology;

·         Good computer skills;

·         Ability to make sound judgments and good decision-making skills;

·         Strong cross-functional team skills with the ability to work independently;

·         Previous disability management experience, assessing disability claims would be an asset;

·         Previous knowledge of disability products would be an asset.

 

Please forward resume to [email protected]

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